File:Choledocolithiasis - passed stones (Radiopaedia 72030-82516 Axial Cholangiogram 16).jpg

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Choledocolithiasis_-_passed_stones_(Radiopaedia_72030-82516_Axial_Cholangiogram_16).jpg ‎(581 × 512 pixels, file size: 62 KB, MIME type: image/jpeg)

Summary:

Description
  • Radiopaedia case ID: 72030
  • Image ID: 51708843
  • Image stack position: 16/69
  • Plane projection: Axial
  • Aux modality: Cholangiogram
  • Study description: Intravenous cholangiogram
  • Study findings: There is no biliary tree dilatation, the common bile duct measures up to 5.5 mm in caliber.  Tapering of the very distal common bile duct, at the level of the papilla, does not have worrisome features, no evidence of intraductal stones.  There is normal spillage of contrast into the duodenum. The gallbladder is not abnormally distended and shows multiple gallstones.  The cystic duct is normal.  The remainder of the imaged superior abdomen is unremarkable for this targeted protocol. Conclusion: The previously demonstrated CBD stones have passed, no biliary obstruction or residual intraductal stones on the images of today.
  • Modality: CT
  • System: Hepatobiliary
  • Findings: Multiple non-obstructing calculi noted in the gallbladder fundus. The gallbladder is distended and tender to probe, but the wall is not thickened (2mm). No pericholecystic fluid.2 calculi in the CBD, measuring 20 x 8mm and 6 x 4mm. The CBD is mildly dilated (7mm). The pancreas is not well visualized but the main pancreatic duct measures\R\20mm in diameter. The intrahepatic ducts are not dilated. The liver, kidneys, spleen, and aorta are unremarkable. Small renal cyst in the left lower pole. No ascites. Conclusion: Cholelithiasis and choledocholithiasis - with 2 calculi seen in the common bile duct. Tender gallbladder without sonographic features of cholecystitis.
Date Published: 19th Apr 2020
Source https://radiopaedia.org/cases/choledocolithiasis-passed-stones
Author Bruno Di Muzio
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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